DSAEK is the preferred method for the treatment of endothelial dysfunction, but some eyes do not achieve good vision despite a clear cornea and minimal residual astigmatism. The thickness and regularity of the stromal lamella seem to influence the final visual acuity: better results seem to be achieved with thinner grafts. This video presents 2 methods for obtaining thin lenticules, aiming for a final thickness of 120 microns.